\u00a0<\/p>\n
\u00dcsk\u00fcdar \u00dcniversitesi Di\u015f Hastanesi \u00c7ocuk Di\u015f Hekimli\u011fi Ana Bilim Dal\u0131 Dr. \u00d6\u011fr. \u00dcyesi Buse Y\u0131lmaz \u015een, \u00c7ocukluk \u00c7a\u011f\u0131 Kanserleri Fark\u0131ndal\u0131k Ay\u0131 (Alt\u0131n Eyl\u00fcl) kapsam\u0131nda, kemoterapi ve radyoterapinin \u00e7ocuklar\u0131n a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 \u00fczerindeki etkileri ile tedavi \u00f6ncesi ve s\u0131ras\u0131nda koruyucu a\u011f\u0131z bak\u0131m\u0131n\u0131n \u00f6nemi hakk\u0131nda a\u00e7\u0131klamalarda bulundu.<\/p>\n
Kemoterapi ve radyoterapiler a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131n\u0131 etkiliyor!<\/strong><\/p>\n \u00c7ocukluk \u00e7a\u011f\u0131 kanserlerinde kemoterapi ve \u00f6zellikle ba\u015f-boyun b\u00f6lgesine uygulanan radyoterapinin, a\u011f\u0131z ve di\u015fleri do\u011frudan etkileyebildi\u011fini ifade eden Dr. \u00d6\u011fr. \u00dcyesi Buse Y\u0131lmaz \u015een, \u201cEn s\u0131k kar\u015f\u0131la\u015f\u0131lan sorunlardan biri\u00a0a\u011f\u0131z mukozas\u0131nda k\u0131zar\u0131kl\u0131k, hassasiyet ve yaralar\u0131n olu\u015fmas\u0131d\u0131r<\/strong>. Bu durum \u2018oral mukozit\u2019 olarak adland\u0131r\u0131l\u0131r ve ciddi a\u011fr\u0131ya, yemek yemekte ve hatta bazen konu\u015fmakta g\u00fc\u00e7l\u00fc\u011fe neden olabilir.\u201d dedi.<\/p>\n Bunun yan\u0131nda a\u011f\u0131z kurulu\u011fu, tat de\u011fi\u015fiklikleri, di\u015f hassasiyeti, di\u015f \u00e7\u00fcr\u00fcklerinde art\u0131\u015f, di\u015f eti sorunlar\u0131 ve mantar veya viral enfeksiyonlar g\u00f6r\u00fclebilece\u011fine i\u015faret eden\u00a0Dr. \u00d6\u011fr. \u00dcyesi \u015een, \u201cBa\u015f-boyun b\u00f6lgesine radyoterapi uygulanan \u00e7ocuklarda ayr\u0131ca t\u00fck\u00fcr\u00fck bezleri etkilenebilece\u011fi i\u00e7in\u00a0kal\u0131c\u0131 a\u011f\u0131z kurulu\u011fu<\/strong>\u00a0geli\u015febilir ve \u00e7ene hareketlerini k\u0131s\u0131tlayan\u00a0trismus<\/strong>\u00a0ortaya \u00e7\u0131kabilir. Uzun d\u00f6nemde, \u00f6zellikle tedavi k\u00fc\u00e7\u00fck ya\u015flarda uygulanm\u0131\u015fsa, di\u015flerin geli\u015fimi de etkilenebilir. Di\u015flerde \u015fekil ve boyut bozukluklar\u0131, mine geli\u015fim problemleri, baz\u0131 di\u015flerin hi\u00e7 geli\u015fmemesi ve \u00e7ene-y\u00fcz geli\u015fiminde de\u011fi\u015fiklikler g\u00f6r\u00fclebilir.\u201d \u015feklinde konu\u015ftu.<\/p>\n \u0130yile\u015fmeyen veya 14 g\u00fcnden uzun s\u00fcren a\u011f\u0131z lezyonlar\u0131 ciddiye al\u0131nmal\u0131!<\/strong><\/p>\n A\u011f\u0131z yaralar\u0131n\u0131n\u00a0k\u0131zar\u0131kl\u0131k, hassasiyet ve yanma<\/strong>\u00a0\u015feklinde ba\u015flayabilece\u011fini, daha sonra a\u011fr\u0131l\u0131 \u00fclserlere d\u00f6n\u00fc\u015febilece\u011fini ifade eden\u00a0Dr. \u00d6\u011fr. \u00dcyesi \u015een, \u201c\u00c7ocuk yemek yemekten, i\u00e7mekten veya di\u015flerini f\u0131r\u00e7alamaktan ka\u00e7\u0131nabilir. \u00d6zellikle k\u00fc\u00e7\u00fck \u00e7ocuklarda a\u011fr\u0131 s\u00f6zel olarak ifade edilmeyebilece\u011fi i\u00e7in\u00a0i\u015ftahs\u0131zl\u0131k, a\u011flayarak yemek yeme veya a\u011f\u0131z bak\u0131m\u0131na diren\u00e7 g\u00f6sterme<\/strong>\u00a0\u00f6nemli ipu\u00e7lar\u0131d\u0131r.\u201d dedi.<\/p>\n Ailenin \u00f6zellikle dikkat etmesi gereken durumlara de\u011finen\u00a0Dr. \u00d6\u011fr. \u00dcyesi \u015een, \u201c\u00c7ocuk s\u0131v\u0131 veya besin alam\u0131yorsa, a\u011f\u0131z yaralar\u0131 h\u0131zla art\u0131yorsa, belirgin kanama varsa veya a\u011f\u0131zda enfeksiyon d\u00fc\u015f\u00fcnd\u00fcren de\u011fi\u015fiklikler ortaya \u00e7\u0131k\u0131yorsa gecikmeden hekimiyle ileti\u015fime ge\u00e7mesi \u00f6nemli. Ayr\u0131ca tedavi s\u0131ras\u0131nda ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bask\u0131land\u0131\u011f\u0131 i\u00e7in enfeksiyonlar\u0131n belirtileri her zaman belirgin olmayabilir.\u00a0\u0130yile\u015fmeyen veya 14 g\u00fcnden uzun s\u00fcren a\u011f\u0131z lezyonlar\u0131<\/strong>\u00a0da mutlaka de\u011ferlendirilmeli.\u201d uyar\u0131s\u0131nda bulundu.<\/p>\n Di\u015f eti sorunlar\u0131, tedavi ve a\u011f\u0131z bak\u0131m\u0131yla birlikte de\u011ferlendirilmeli!<\/strong><\/p>\n Di\u015f eti \u00e7ekilmesinin, kanser tedavisinin en tipik ve do\u011frudan sonu\u00e7lar\u0131ndan biri olarak kabul edilmedi\u011fini aktaran\u00a0Dr. \u00d6\u011fr. \u00dcyesi \u015een, \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cAncak tedavi d\u00f6neminde a\u011f\u0131z sa\u011fl\u0131\u011f\u0131n\u0131n bozulmas\u0131, a\u011f\u0131z kurulu\u011fu, beslenme de\u011fi\u015fiklikleri ve a\u011f\u0131z bak\u0131m\u0131n\u0131n aksamas\u0131 di\u015f eti dokular\u0131n\u0131 olumsuz etkileyebilir. A\u011f\u0131z i\u00e7inde a\u011fr\u0131 ve mukozit nedeniyle \u00e7ocuk di\u015flerini yeterince f\u0131r\u00e7alayamayabilir. Bu durum a\u011f\u0131zda bakteri birikimini art\u0131rabilir. \u00d6te yandan yanl\u0131\u015f veya travmatik f\u0131r\u00e7alama da di\u015f eti dokular\u0131na zarar verebilir. Dolay\u0131s\u0131yla di\u015f eti de\u011fi\u015fikliklerini yaln\u0131zca \u2018kanser tedavisinin yan etkisi\u2019 olarak de\u011ferlendirmek do\u011fru de\u011fildir;\u00a0tedavinin kendisi ile a\u011f\u0131z bak\u0131m\u0131ndaki de\u011fi\u015fiklikler birlikte de\u011ferlendirilmelidir.\u201d<\/strong><\/p>\n Kanser tedavisi \u00f6ncesinde a\u011f\u0131zdaki enfeksiyon odaklar\u0131 ortadan kald\u0131r\u0131lmal\u0131!\u00a0<\/strong><\/p>\n Kemoterapi \u00f6ncesinde mevcut \u00e7\u00fcr\u00fck, di\u015f eti hastal\u0131\u011f\u0131 veya enfeksiyonlar\u0131n tedavi edilmesinin \u00f6nemli oldu\u011funa dikkat \u00e7eken\u00a0Dr. \u00d6\u011fr. \u00dcyesi \u015een, \u201cBunun temel nedeni, kemoterapi s\u0131ras\u0131nda \u00e7ocu\u011fun ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bask\u0131lanmas\u0131d\u0131r. Normal \u015fartlarda kontrol alt\u0131nda olan bir di\u015f enfeksiyonu, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131flad\u0131\u011f\u0131nda \u00e7ok daha ciddi hale gelebilir ve tedavinin seyrini olumsuz etkileyebilir.\u201d dedi.<\/p>\n \u0130deal yakla\u015f\u0131m\u0131n,\u00a0kanser tedavisi ba\u015flamadan \u00f6nce a\u011f\u0131zda mevcut veya ileride sorun yaratabilecek enfeksiyon odaklar\u0131n\u0131 ortadan kald\u0131rmak oldu\u011funu kaydeden\u00a0<\/strong>Dr. \u00d6\u011fr. \u00dcyesi \u015een, \u201c\u00d6ncelik; di\u015f kaynakl\u0131 enfeksiyonlar, ileri di\u015f \u00e7\u00fcr\u00fckleri, ciddi periodontal problemler, prognozu k\u00f6t\u00fc di\u015fler ve a\u011f\u0131z dokular\u0131n\u0131 s\u00fcrekli tahri\u015f eden durumlar\u0131n tedavisidir. Buradaki ama\u00e7 di\u015fleri tedavi ederek kanser tedavisini geciktirmek de\u011fil. Tam tersine,\u00a0onkoloji tedavisini gereksiz yere geciktirmeden, gelecekte ciddi enfeksiyon olu\u015fturabilecek riskleri m\u00fcmk\u00fcn oldu\u011funca \u00f6nceden ortadan kald\u0131rmakt\u0131r.\u201d diye konu\u015ftu.<\/strong><\/p>\n Temel yakla\u015f\u0131m, a\u011f\u0131z i\u00e7ini m\u00fcmk\u00fcn oldu\u011funca temiz ve travmadan uzak tutmak olmal\u0131!\u00a0<\/strong><\/p>\n \u00c7ocuk onkoloji hastalar\u0131nda koruyucu a\u011f\u0131z ve di\u015f bak\u0131m\u0131 protokol\u00fc nas\u0131l olmas\u0131 gerekti\u011fi hakk\u0131nda bilgi veren\u00a0Dr. \u00d6\u011fr. \u00dcyesi \u015een, \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cTemel yakla\u015f\u0131m, a\u011f\u0131z i\u00e7ini m\u00fcmk\u00fcn oldu\u011funca temiz ve travmadan uzak tutmakt\u0131r. \u00c7ocuk, genel durumu izin verdi\u011fi s\u00fcrece\u00a0yumu\u015fak k\u0131ll\u0131 bir di\u015f f\u0131r\u00e7as\u0131yla g\u00fcnde 2\u20133 kez di\u015flerini ve dilini temizlemelidir.<\/strong>\u00a0Kanser tedavisi s\u0131ras\u0131nda a\u011f\u0131z hijyeninin s\u00fcrd\u00fcr\u00fclmesi, a\u011f\u0131zdaki mikroorganizma y\u00fck\u00fcn\u00fc azaltarak enfeksiyon ve mukozit riskinin y\u00f6netilmesine yard\u0131mc\u0131 olur.<\/p>\n Flor\u00fcrl\u00fc di\u015f macunu kullan\u0131lmal\u0131; \u00e7\u00fcr\u00fck riski ve a\u011f\u0131z kurulu\u011fu varsa flor\u00fcr i\u00e7eren ek koruyucu uygulamalar hekim taraf\u0131ndan planlanmal\u0131. Beslenmede de \u00f6zellikle \u015fekerli ila\u00e7lar ve y\u00fcksek karbonhidrat i\u00e7eren takviyelerin \u00e7\u00fcr\u00fck riskini art\u0131rabilece\u011fi unutulmamal\u0131. A\u011fr\u0131 veya mukozit d\u00f6nemlerinde ise \u00e7ok s\u0131cak, baharatl\u0131, sert, k\u0131t\u0131r ve asidik g\u0131dalardan ka\u00e7\u0131n\u0131lmal\u0131. Ayr\u0131ca a\u011f\u0131z kurulu\u011fu geli\u015fen \u00e7ocuklarda\u00a0s\u0131k su i\u00e7mek, \u015fekersiz sak\u0131z veya uygun t\u00fck\u00fcr\u00fck destekleyici \u00fcr\u00fcnler kullanmak ve alkol i\u00e7ermeyen a\u011f\u0131z bak\u0131m \u00fcr\u00fcnlerini tercih etmek<\/strong>\u00a0yararl\u0131 olabilir.<\/p>\n \u00c7ocuk di\u015f ipini do\u011fru ve travma olu\u015fturmadan kullanabiliyorsa g\u00fcnl\u00fck kullan\u0131m s\u00fcrd\u00fcr\u00fclebilir. Ancak kanama veya a\u011fr\u0131 olu\u015fuyorsa sorunlu b\u00f6lge zorlanmamal\u0131. Ba\u011f\u0131\u015f\u0131kl\u0131k ve kan h\u00fccrelerinin \u00e7ok d\u00fc\u015ft\u00fc\u011f\u00fc d\u00f6nemlerde di\u015f etlerine zarar verebilecek k\u00fcrdan veya baz\u0131 su p\u00fcsk\u00fcrtmeli cihazlar\u0131n kullan\u0131lmas\u0131 \u00f6nerilmez.\u201d<\/p>\n Di\u015f hekimi kontrol\u00fc, kanser tedavisinin d\u0131\u015f\u0131nda kalan ayr\u0131 bir konu de\u011fil!\u00a0<\/strong><\/p>\n A\u011f\u0131z sa\u011fl\u0131\u011f\u0131n\u0131n kanser tedavisinin ayr\u0131lmaz bir par\u00e7as\u0131 olarak g\u00f6r\u00fclmesi gerekti\u011fine vurgu yapan\u00a0Dr. \u00d6\u011fr. \u00dcyesi Buse Y\u0131lmaz \u015een, \u201cKanser tedavisi sadece hastal\u0131\u011f\u0131 tedavi etmekten ibaret de\u011fildir; \u00e7ocu\u011fun tedaviyi g\u00fcvenli ve m\u00fcmk\u00fcn oldu\u011funca rahat bir \u015fekilde s\u00fcrd\u00fcrebilmesi de \u00f6nemlidir. A\u011f\u0131z, v\u00fccudun d\u0131\u015far\u0131yla ba\u011flant\u0131l\u0131 en \u00f6nemli b\u00f6lgelerinden biri. A\u011f\u0131zda bulunan bir enfeksiyon veya tedavi s\u0131ras\u0131nda geli\u015fen ciddi yaralar, \u00e7ocu\u011fun yemek yemesini, s\u0131v\u0131 almas\u0131n\u0131 ve genel durumunu etkileyebilir; hatta baz\u0131 durumlarda kanser tedavisinin plan\u0131n\u0131 zorla\u015ft\u0131rabilir.\u201d dedi.<\/strong><\/p>\n Bu nedenle di\u015f hekimi kontrol\u00fcn\u00fcn, kanser tedavisinin d\u0131\u015f\u0131nda kalan ayr\u0131 bir konu olmad\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen\u00a0<\/strong>Dr. \u00d6\u011fr. \u00dcyesi \u015een, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/p>\n \u201cTam tersine, kemoterapi veya radyoterapi ba\u015flamadan \u00f6nce a\u011f\u0131zda enfeksiyon olu\u015fturabilecek sorunlar\u0131n belirlenmesi, tedavi s\u0131ras\u0131nda a\u011f\u0131z hijyeninin korunmas\u0131 ve geli\u015febilecek yan etkilerin erken y\u00f6netilmesi, \u00e7ocu\u011fun ya\u015fam kalitesini ve tedavi s\u00fcrecinin g\u00fcvenli\u011fini destekler.<\/strong><\/p>\n K\u0131sacas\u0131, sa\u011fl\u0131kl\u0131 bir a\u011f\u0131z yaln\u0131zca sa\u011fl\u0131kl\u0131 di\u015fler anlam\u0131na gelmez; kanser tedavisi g\u00f6ren bir \u00e7ocuk i\u00e7in genel sa\u011fl\u0131\u011f\u0131n da \u00f6nemli bir par\u00e7as\u0131d\u0131r.\u201d<\/strong><\/p>\n \u00a0<\/p>\n \u00a0<\/p>\n Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":" \u00a0 \u00dcsk\u00fcdar \u00dcniversitesi Di\u015f Hastanesi \u00c7ocuk Di\u015f Hekimli\u011fi Ana Bilim Dal\u0131 Dr.<\/p>\n","protected":false},"author":1,"featured_media":35444,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23],"tags":[],"class_list":["post-35443","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/35443","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=35443"}],"version-history":[{"count":1,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/35443\/revisions"}],"predecessor-version":[{"id":35445,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/35443\/revisions\/35445"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/media\/35444"}],"wp:attachment":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=35443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=35443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=35443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}